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WO1996035403A1 - Colonne d'equipement mobile pour chambre d'hopital - Google Patents

Colonne d'equipement mobile pour chambre d'hopital Download PDF

Info

Publication number
WO1996035403A1
WO1996035403A1 PCT/US1996/006698 US9606698W WO9635403A1 WO 1996035403 A1 WO1996035403 A1 WO 1996035403A1 US 9606698 W US9606698 W US 9606698W WO 9635403 A1 WO9635403 A1 WO 9635403A1
Authority
WO
WIPO (PCT)
Prior art keywords
support column
equipment support
gas
arm
medical equipment
Prior art date
Application number
PCT/US1996/006698
Other languages
English (en)
Inventor
Edgar B. Montague
Christopher F. Yonge
Robin E. Smith
Original Assignee
Medaes, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medaes, Inc. filed Critical Medaes, Inc.
Priority to AU57405/96A priority Critical patent/AU5740596A/en
Publication of WO1996035403A1 publication Critical patent/WO1996035403A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/107—Supply appliances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
    • A61G12/002—Supply appliances, e.g. columns for gas, fluid, electricity supply
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
    • A61G12/002—Supply appliances, e.g. columns for gas, fluid, electricity supply
    • A61G12/004—Supply appliances, e.g. columns for gas, fluid, electricity supply mounted on the ceiling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
    • A61G12/002—Supply appliances, e.g. columns for gas, fluid, electricity supply
    • A61G12/008—Supply appliances, e.g. columns for gas, fluid, electricity supply mounted on a mobile base, e.g. on a trolley
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
    • F16M11/00—Stands or trestles as supports for apparatus or articles placed thereon ; Stands for scientific apparatus such as gravitational force meters
    • F16M11/20—Undercarriages with or without wheels
    • F16M11/2007—Undercarriages with or without wheels comprising means allowing pivoting adjustment
    • F16M11/2014—Undercarriages with or without wheels comprising means allowing pivoting adjustment around a vertical axis
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
    • F16M13/00—Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles
    • F16M13/02—Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles for supporting on, or attaching to, an object, e.g. tree, gate, window-frame, cycle
    • F16M13/027—Ceiling supports
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00—General characteristics of devices
    • A61G2203/70—General characteristics of devices with special adaptations, e.g. for safety or comfort
    • A61G2203/80—General characteristics of devices with special adaptations, e.g. for safety or comfort for connecting a trolley to a device, e.g. bed or column table
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00—Devices for specific treatment or diagnosis
    • A61G2210/30—Devices for specific treatment or diagnosis for intensive care
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16M—FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
    • F16M2200/00—Details of stands or supports
    • F16M2200/06—Arms
    • F16M2200/065—Arms with a special structure, e.g. reinforced or adapted for space reduction

Definitions

  • This invention relates to an equipment column for providing patient life support services in a self contained unit. More particularly, it refers to an equipment column supporting heavy patient care equipment and movable around a patient without moving the patient.
  • U.S. Patents such as 3,032,057; 4,475,322; 5,007,688 and 5,107,636.
  • U.S. Patent 3,032,057 describes an early version of a hospital recovery service unit which is placed in a retracted position above each bed.
  • the drawings show the device connected to an overhead for supply of electrical and air service.
  • the unit has a vertical guide with a generally rectangular downwardly extending portion. There is no suggestion that this particular device can be extended to the floor or placed on rollers for moving around the bed of a patient.
  • U.S. Patent 4,475,322 describes a medical power service column for use in a hospital room.
  • the service facilities come in from the ceiling, but the column is not movable and is not placed on any rollers or other device for movement.
  • there are holes in the bottom for permanently securing the unit to the floor of the patient's room.
  • U.S. Patent 5,007,688 describes a wheeled intensive care unit which contains various pager, monitor and supply systems.
  • the lower section is mounted on rollers for movement of the unit.
  • An intermediate incline service includes liquid dosing units and an upper section includes a viewing and indicator unit.
  • An extension arm mounted on the lower portion extends outwardly on one side of the unit. This extension arm is supported on a track within a hollow compartment formed in the lower section. This allows the extension arm to be positioned on either a first side or a second side of the lower section.
  • Electrical supply lines are attached to the unit to enable it to be connected to wall mounted power sounds.
  • the column equipment in 5,107,636 requires exposed service lines going to the column from a source point.
  • U.S. Patent 5,299,338 describes a system for moving around a bed of a patient.
  • the system is suspended from the ceiling and has no rollers on the bottom portion.
  • the patient care units are mounted on arms that swing about pivot axies passing through either or both ends of a patient's bed.
  • the instruments on the power column can be moved directly to the side of a patient.
  • the entire power column 20 is movable to either side of the bed. There are no wheels to the power column although there are apparently wheels on the bed to which the power column is attached. This device moves only in conjunction with the bed.
  • An improved stand alone equipment column is needed which is more versatile in its use.
  • the ability to move an equipment column up to 340° around a patient's bed would provide greater flexibility to care personnel.
  • Articulating arms for supporting monitor equipment attached to the movable equipment column would provide even greater flexibility to the caregiver.
  • the invention is a movable medical equipment support column providing internally mounted gas rails and electrical raceways with no exposed service supply conduits.
  • Ceiling mounted conduits lead into a top portion of the equipment support column having two pair of oppositely positioned vertically extending front and rear frame members joined at the top portion with a cap containing raceways for receiving overhead conduits.
  • a base structure supports the bottom of the frame members and contains four casters controlled by a foot operated or an electrical brake system.
  • Multiple horizontally extending cross members interconnect oppositely positioned vertical frame members. These cross members support miscellaneous hospital equipment.
  • a shaft connecting to the equipment support column frame has a pivotally mounted support arm for a patient monitor at a bottom end and a first end of a first arm of a double articulating arm at a top end.
  • the first end of the second arm of the double articulating arm connects to the ceiling for receipt of gas line and electrical line systems.
  • the front and rear vertical columns and cap contain raceways for receiving electrical conduits and gas lines from the double articulating arm.
  • the equipment support column accessible from all sides is thus fully self contained with no exposed gas or electrical conduits and can move 340° around the bed of a patient.
  • FIG. 1 is a front elevational view of the movable hospital room equipment column of this invention.
  • FIG. 2 is a right side elevational view of the movable hospital room equipment column of FIG. 1.
  • FIG. 3 is a cross sectional top plan view along lines 3-3 of FIG. 1.
  • FIG. 4 is a cross sectional top plan view along lines 4-4 of FIG . 1 .
  • FIG. 5 is a longitudinal cross sectional view in elevation of the monitor support arm along lines 5-5 of FIG. 4.
  • FIG. 6 is a cross sectional view through 6-6 of FIG. 5.
  • FIG. 7 is a cross sectional view through 7-7 of FIG. 5.
  • FIG. 8 is an exposed view of the cap without its cover.
  • FIG. 9 is a top plan view of the interior of the cap with gas lines and electrical conduits in place.
  • FIG. 10 is a top plan cross sectional view along lines 10-10 of FIG. 1.
  • FIG. 11 is a sectional plan view taken along lines 11-11 of FIG. 1.
  • FIG. 12 is a top plan view of a hinge for an equipment arm.
  • FIG. 13 is a sectional view through lines 13-13 of FIG. 11.
  • FIG. 14 is a plan sectional view of the spring loaded equipment rail.
  • FIG. 15 is a side elevational view of the spring loaded equipment rail.
  • FIG. 16 is a sectional view along lines 16-16 of FIG. 1.
  • FIG. 17 is a plan sectional view of middle vertical column extrusion member shown in FIG. 13.
  • FIG. 18 is a top and bottom sectional view of the vertical column extrusion cover.
  • FIG. 19 is a sectional view of the rubber bumper for the vertical column.
  • FIG. 20 is an exploded view of a front vertical column.
  • FIG. 21 is an exploded view of the motor assembly and brake pad in the base member.
  • FIG. 22 is a side view of the wheels located in the base member.
  • FIG. 23 is a sectional view through lines 23-23 of FIG. 22. Detailed Description of The Invention
  • the movable medical equipment support column 10 is shown in FIG. 1 as having an overhead cap 12 and a base 14 connected by a pair of front frame members 16 and 18 and a pair of rear frame members 20 and 22.
  • the front frame members 16 and 18 are interconnected by multiple front horizontally extending equipment rails 24, 26, 28, 29 and 30.
  • Corresponding multiple rear horizontally extending cross members 33 interconnect frame member 20 and 22 as seen in FIG. 3.
  • a fixed central housing 57 contains internal low voltage 73 and high voltage 71 components.
  • the base member 14 has mounted therein multi- directional casters 32, usually four in number, held in place by a brake pad 34, seen in FIGS. 21 and 22.
  • the brake pad 34 is electrically operated by a motor assembly 66 which is actuated by membrane switch 36 within handle 38 as seen in FIG. 20. Alternatively it can be operated by a foot peddle 67. Brake pad 34 is released electrically by pressing handle 38 or 40 to depress membrane switch 36. Handles 38 and 40 cover the middle plate 80 of front frames 16 and 18, respectively.
  • pipe 42 connects through flange 41 at an upper end, a first arm 44 of twc articulating arms 46.
  • Flange 41 constitutes the top of pipe 42.
  • the second articulating arm 48 is attached to a ceiling mounted support plate 50.
  • a ceiling cover 51 provides a decorative addition.
  • a monitor support arm 52 is attached to a lower end of the pipe 42, just above cap 12.
  • Support arm 52 has a pivoting bracket 53 attached to monitor 54 at an end distal from the pipe 42.
  • a bushing 43 is pressed into a support tube 45 and screws 47 prevent rotation of pipe 42 within the support tube 45.
  • Monitor 54 is electrically connected to a computer (not shown) mounted within the movable column 10 on a shelf 24.
  • a gas flow meter 58 is attached to a gas block 59 mounted on the horizontal member 26.
  • the vertical members 16, 18, 20 and 22 have internal raceways to route gas conduits 68 to the gas rail 63.
  • the gas rail 63 is connected to a flow meter 58 by a gas line hose 91 shown in FIG. 10.
  • the horizontal members 28, 29 or 30 are spring mounted in channels 17 of vertical columns 16, 18, 20 and 22, as seen in FIGS. 14 and 15. Horizontal members 24 and 26 are fixed to receive shelf assemblies. Each vertical frame member has an inside channel 17 to receive ends of a horizontal member 28. One end 23 is fixed and the other end 25 is operated by a spring 27. A steel insert 31 fits in channel 17 to hold end 23 or 25.
  • Intravenous (I.V.) support structures 60 and 61 are pivotally mounted on each side of handle 38 and 40, respectively.
  • the support units 60 and 61 are mounted above and below the handles 38 and 40 at points 62 and 64.
  • the I.V. support structures 60 and 61 are attached to a vertical frame member as shown in FIGS. 11-13.
  • the vertical frame member 16 contains a gas raceway 70 and electrical raceways 72 and 74.
  • the vertical frame member has an extruded aluminum housing 76 with end cover plates 78.
  • a central cover plate 80 is sc r ewed in place between the pivot points 62 and 64 as seen in FIG. 20.
  • the rounded handle 38 and bumpers 65 cover plates 80 and 78, respectively.
  • Rotating pivot bracket 82 at the end of arm 84 of the support structure 60 or 61 engages the end of cover plate 80 at pivot point 62.
  • the support structure 61 can swing outwardly from support column 10 about 135° and can fit flush between frame members 18 and 22 when not in use. In like manner, support structure 60 can swing outwardly from a position between frame members 16 and 20.
  • monitor support arm 52 supported by pipe 42 has a patient monitor 54 attached at a point distal from pipe 42.
  • a pair of springs 92 mounted within support arm 52 are attached at one end to a shaft 94 which moves in response to an adjustment arm 96 mounted in a block at an end distal from the shaft 94.
  • An access hole 100 permits adjustment of arm 96 so that tension on springs 92 can be greater or lesser depending on the weight of the monitor 54.
  • Cap 12 feeds the various gas lines 68 and high voltage electrical conduits 71, and low voltage electrical conduits 73, from the support tube 45 to the gas raceway 70 and electrical raceways 72 and 74 in the vertical columns 16, 18, 20 and 22 as shown in FIGS. 8 and 9. Both low voltage lines 73 and high voltage lines 71 are contained in separate conduits.
  • the brake assembly has brake pads 34 affixed to the underside of U-shaped bracket 102.
  • the bracket 102 is held in parallel respect to the floor surface by shafts 104 and bushings 106 which allow bracket 102 to travel along the vertical slots 108.
  • Shaft 105 creates a pivot point for mechanical lifting arm 110 and manual lifting of arm 112.
  • arm 110 pivots about shaft 105 and exerts vertical force on shaft 114.
  • manual release 67 is depressed, forcing arm 112 to exert vertical force on shaft 114 thereby releasing the brake mechanism.
  • the mechanical lifting of shaft 114 is coordinated by rotating cam 120 which is asymmetrically attached to motor shaft 122.
  • Switch cam 124 is affixed to the motor side of cam 120 and cam 124 has a notch 123 to alternately break contacts in opposing micro- switches 126.
  • the two switches 126 alternately turn motor 66 on and off at 180 degree cycles and cause brake assembly to alternately fully retract or fully engage the floor.
  • four springs 130 engage an internal flange of bracket 102 and shafts 104 and 105 in order to assure constant maximum braking force.
  • the various components, features and aspects of the present invention may be made of any suitable materials such as plastic, wood, extruded aluminum, other metal or any other suitable materials.
  • Aluminum exctrusions are preferred for the frame components.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Engineering & Computer Science (AREA)
  • Nursing (AREA)
  • Mechanical Engineering (AREA)
  • Biomedical Technology (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

La présente invention concerne une colonne d'équipement mobile pour chambre d'hôpital. Cette colonne comporte des conduites électriques et de gaz, montées au plafond, qui mènent à une partie supérieure de la colonne par un tuyau. Un double bras articulé permet de déplacer la colonne, sur un support muni de roulettes, dans un secteur de 340° autour du lit d'un patient. Un frein, dans le support, empêche de déplacer la colonne par inadvertance. Un bras- support, monté sur le tuyau au-dessous du double bras articulé, porte un écran de surveillance du patient. Des colonnes verticales avant et arrière, reliées par des éléments horizontaux, donne librement accès à l'équipement permettant de servir le patient, y compris les accouplements pour les gaz et les prises électriques.
PCT/US1996/006698 1995-05-12 1996-05-10 Colonne d'equipement mobile pour chambre d'hopital WO1996035403A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU57405/96A AU5740596A (en) 1995-05-12 1996-05-10 Movable hospital room equipment column

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/440,340 1995-05-12
US08/440,340 US5618090A (en) 1995-05-12 1995-05-12 Movable hospital room equipment column

Publications (1)

Publication Number Publication Date
WO1996035403A1 true WO1996035403A1 (fr) 1996-11-14

Family

ID=23748376

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1996/006698 WO1996035403A1 (fr) 1995-05-12 1996-05-10 Colonne d'equipement mobile pour chambre d'hopital

Country Status (4)

Country Link
US (1) US5618090A (fr)
AU (1) AU5740596A (fr)
CA (1) CA2220765A1 (fr)
WO (1) WO1996035403A1 (fr)

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